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University of Pennsylvania
(Pennsylvania)
NCC National Certification Corporation
NCC Registered Nurse Certified in Neonatal
Intensive Care Nursing RNC-NIC Exam
Course Title and Number: NCC Registered Nurse Certified in Neonatal Intensive Care Nursing RNC-NIC Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
- Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have completed the Exam.
- This test has a time limit, The test will save and submit automatically when the time expires
- This is Exam which will assess your knowledge on the course Learning Resources.
Good Luck!
📧 Hybridgrades101@gmail.com NCC National Certification Corporation 2024-2025 NCC Registered Nurse Certified in Neonatal Intensive Care Nursing RNC-NIC Exam Prep Study Guide Questions and Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Pre-term - Answer>> RDS Hypoglycemia Hypothermia IVH sepsis PDA long term problems Post term - Answer>> Fetal distress Hypoglycemia Neonatal asphyxia Mec aspiration syndrome Birth injuries SGA - Answer>> Hypoglycemia Hypocalcemia Neonatal asphyxia Meconium aspiration Polycythemia LGA - Answer>> Birth trauma Asphyxia Hypoglycemia Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Watch for what if giving Lasix - Answer>> nephrocalcinosis calcium gluconate given slow IV push can cause what - Answer>> bradys polyhydraminos is a risk factor for what - Answer>> duodenal atresia- bilious vomiting meconium ileus - Answer>> sick babe, risk factor polyhydramnios, pancreatic insufficiency, associated w/ cystic fribrosis, gastric sux, correct fluid and electrolytes disturb symptoms of volvulus or malrotation - Answer>> bilious vomiting, abdominal distention, bloody stools. subdural hemorrhages are due to what - Answer>> birth trauma cooling is used to stop what - Answer>> brain damage or cell death (apoptosis) periventricular leukomalacia - Answer>> injury to white matter SIADH - Answer>> fluid restriction Specific gravity is what - Answer>> low due to inability to concentrate urine Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Pulmonary hemorrhage or NEC do what with vent - Answer>> go up on PEEP Going up on MAP does what - Answer>> improve ventilation and oxygenation Use HFOV with what - Answer>> PIE or NEC If infants in pain watch for what - Answer>> hyperglycemia premies dont absorb fat bc they are deficient in what - Answer>> bile salts what kind of moms can't breastfeed - Answer>> HIV moms Complication of long term TPN - Answer>> cholestasis Serum PTH increases when - Answer>> immediately after birth chemical thermogenesis - Answer>> release of norepinepherine from sympathetic nervous system first eye exam done when - Answer>> 31-32 wk corrected gest age or 4-6 wk of age choanal atresia - Answer>> may need oral airway, cyanotic at res/ pink when crying Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com autosomal dominant has what chance - Answer>> 50% autosomal recessive has what chance - Answer>> 25% shoulder dystocia - Answer>> brachial plexus, look at arm xray of tet of fallot - Answer>> boot shaped xray of MAS - Answer>> hyperinflation and patchy inflitrates xray of duodenal atresia - Answer>> double bubble xray of NEC - Answer>> pneumotosis (rt lower abdomen) xray of TTN - Answer>> perihilar streaks and sunburst xray of pneumopericordium - Answer>> halo xray of PIE - Answer>> hyperinflated, position affected lung down xray of pneumonia - Answer>> streaky perihilar linear markings xray of TAPVR - Answer>> snowman xray of RDS - Answer>> ground glass, reticulogranular pattern Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com xray of pulmonary hypoplasia - Answer>> bell shaped thoracic cavity ANC - Answer>> wbc X segs, bands, metas <1250 the infant is infected I/T ratio - Answer>> bands and metas and segs >. infection Turner syndrom - Answer>> females, SGA, broad chest, wideset nipples, edema of extremities, short neck Trisomy 18 - Answer>> prominenet occiput, low set ears, small eyes and jaw, clenched hands, single umbilical artery, rocker bottom feet, syndactly, Pierre Robin, Edward syndrom Sturge Webber - Answer>> port wine stains on eyes and nose DiGeorge - Answer>> do FISH analysis trisomy 13 - Answer>> Patau syndrome, don't survive past 2 days, scalp defect staph epi treat with what - Answer>> vanco staph aureus treat with - Answer>> methicillin Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Duodenal atresia - Answer>> due to incomplete recanalization of lumen, obstruction of lumen treatment for NEC - Answer>> NPO, sux, amp, start feeds slowly Big liver equals what - Answer>> high direct bili Kleihauer Betke test - Answer>> to measure amt of fetal Hgb that was transferred to mom nonimmune - Answer>> give rhogam glucose is lowest when - Answer>> 30-90 min after birth, then plasma glucose rises due to release of hepatic glycogen stores causes of hypoglycemia - Answer>> asphyxia, hypothermia, sepsis, most common though is hyperinsulinemia IDM babe - Answer>> polycythemia, thick sluggish blood, makes heart work harder acid Ph and vit D are needed for - Answer>> Ca absorption Hyperinsulinemia suppresses what - Answer>> surfactant production leading to RDS Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com causes of hypocalcemia - Answer>> early- prematurity, late- cow's milk formula calcium bolus could cause what - Answer>> brady hypothyroidism - Answer>> prolonged ankle and knee jerk reflexes presentation of hypercalcemia - Answer>> things slow down, poor feeding, constipation causes of hypercalcemia - Answer>> iatrogenic, subQ fat necrosis higher level of phosphorus seen in who - Answer>> formula fed babes hypermagnesemia is due to - Answer>> excessive Mg admin to mom, resolves with peeing congenital hypothyroidism - Answer>> large anterior/posterior fontanels, downs, T4 replacement, low thyroxine, high TSH PKU - Answer>> plasma phenylalanine and tyrosine should be drawn, no breast feeding, phenylalanine diet omphalocele - Answer>> males, with syndromes, viscera covered by membrane composed of peritoneum and amnion, radiant heat loss Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com ELBW - Answer>> < lanugo covers entire body up to when - Answer>> 28 wks IUGR head is what - Answer>> large for trunk preterm on ballards - Answer>> square window > 90, popliteal 180, scarf sign pulled past midline ELBW has no what - Answer>> plantar creases alpha fetoprotein - Answer>> high- neural tube defects, low- downs placenta alpha macroglobulin 1 - Answer>> abundant in amniotic fluid most important characteristic of FHR - Answer>> variability components of biophysical profile - Answer>> tone, rr, movement, nonstress test, amniotic fluid volume (RAMNT) glucose screening done for low risk moms - Answer>> 24- 28 weeks what happens if mom gives birth sitting upright - Answer>> PCO2 will be lower, and PH PO2 are higher L/S test should be done with what other test - Answer>> PG test Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Late decels - Answer>> uteroplacental insufficiency quick decent through pelvis could cause what - Answer>> prolonged decal or brady what happens with postnatal blood flow - Answer>> decreased PVR and increased SVR TE fistula presents with what - Answer>> excessive oral secretions Findings for coarctation of the aorta - Answer>> decreased perfusion and pulses in lower extremities what is activated in response to cold stress - Answer>> norepinephrine surfactant function - Answer>> decreases surface tension to maintain end expiratory pressure in the lungs, prevents alveolar collapse, increases lung compliance Epi function - Answer>> increases HR and the strength of contractions, causes peripheral vasoconstriction, increases blood flow through coronary arteries and brain First thing to do if baby in shock - Answer>> give 10mL/kg normal saline Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com bounding pulses, pulmonary edema, inappropriate weight gain managemtn of PDA - Answer>> Increase Peep to get fluid out, fluid restriction, indomethacin, ibuprofen ASD - Answer>> females, asymptomatic treatment of ASD - Answer>> Treat CHF with dig and diuretics VSD - Answer>> L to R shunt AV canal - Answer>> AV canal and duodenal atresia= downs, develop CHF 4-12 wk when PVR decreases Acyanotic heart defects - Answer>> PDA, ASD, VSD- Most common TAPVR - Answer>> can be acyanotic or cyanotic and has snowman xray Conduction - Answer>> heat transfer by direct contact Convection - Answer>> heat transfer by air current Poikilothermic - Answer>> inability to maintain core temp above that of the environment Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com placement of warmer by drafty window is what kind of heat loss - Answer>> radiant Sodium is what ion - Answer>> main extracellular Hyponatremia symptoms - Answer>> apnea, irritabilty, twitching, seizures Hypokalemia potentiates what drug - Answer>> dig which can cause heart block Potassium is what ion - Answer>> major intracellular ion Hypercalcemia symptoms - Answer>> hypotonia, irritability, poor feeding, hematuria, nephrocalcinosis Hypocalcemia symptoms - Answer>> jitterniss, seizures prediuretic phase - Answer>> birth to 48 hr post diuretic phase - Answer>> 2-5 days diuretic phase - Answer>> 1-5 days If hypocalcemia doesn't get fixed by calcium bolus can try what - Answer>> magnesium administration full term infant requires how many kcal/kg/day - Answer>> 100- Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Indomethacin is medication most likely to do what - Answer>> Cause ischemic and nephrotoxic renal injury Hydronephrosis is caused by what - Answer>> ureteropelvic junction obstruction Too small of BP cuff does what to BP - Answer>> Increases BP Too big of cuff does what - Answer>> decreases BP Why do we give sodium bicarb - Answer>> to shift potassium into the cells what is the most common cause of abdominal mass in newborns - Answer>> cystic renal disease x linked recessive disorder affects only - Answer>> males where is staph aureus infection found - Answer>> pustules found in axillae groin periumbilical area CMV causes - Answer>> microcephaly, periventricular calcifications, thrombocytopenia, jaundice, hearing loss IGG crosses - Answer>> the placenta staphylococcus aureus is gram what - Answer>> positive Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com coagulase staphylococcim - Answer>> most common cause nosocomial infection in NICU watch for what if mom was given phenobarb - Answer>> Bleeding and decreased vit K, clotting factor watch for what if mom has Pku - Answer>> microcephaly and mental retardation for immediate pain relief give what - Answer>> fentanyl cocaine exposed infants present with - Answer>> restlessness, irritability, tremulous, hypertonic 2 month shots - Answer>> HIB, DTAP, IPV, PCV, Hep B what is standard of care - Answer>> what the average reasonable and prudent nurse would do under similar circumstances First pass effect - Answer>> PO- large amt metabolized, IV- bypasses liver so PO dose is larger than IV dose Takes how many half lives to acheive steady state levels - Answer>> 4. half life determines what - Answer>> dosing interval Narrow therapeutic index - Answer>> check levels for toxicity Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
